P.O. Box 963 Blue Bell, PA 19422-9921 Thank you for your interest in Aetna Medicare Advantage plans. We hope you will become a member, and look forward to serving you. Becoming an Aetna Medicare member is simple. You will not lose your Original Medicare Parts A and B benefits. You will simply get more value. With an Aetna Medicare plan, you can get extra benefits, like … • $0 copay for preventive care, eye exams and hearing evaluations • eyewear and hearing aid allowances • health improvement coaching • fitness benefits • optional supplemental dental coverage plus extra values and services, like discounts on dental services, vision products and services, alternative health care program services, and more. To get started, please review the enclosed Aetna Medicare information, which will help you choose the plan that’s right for you: Benefits at a Glance. Side-by-side comparisons of key plan features along with monthly plan premiums and cost sharing amounts. Prescription Drug Formulary (Preferred Drug List). A sample listing of covered prescription drugs. When you enroll in a plan with prescription drug coverage, you’ll be covered for all Medicare-approved Part D prescription drugs. You can get complete information about covered medications by calling Aetna Medicare or visiting our website at www.aetnamedicare.com. Summary of Benefits. A more complete description of plan benefits, terms and conditions. If you enroll in Aetna Medicare coverage by December 31, 2008, your coverage will begin on January 1, 2009. If you are eligible for a special enrollment period you may be able to enroll at a time other than the annual enrollment period. Aetna Medicare customer service can help determine if you are eligible for a special election period. Everyone who has Medicare Parts A and B and lives in our service area is eligible to join an Aetna Medicare Advantage plan (except those who have End-Stage Renal Disease, unless certain exceptions apply). See inside for how to enroll and what to expect once you’re a member. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com M0001_7A_80654 (09/2008) Page 1 18.32.429.1 (10/09) How to Enroll in an Aetna Medicare Plan Step 1 – Consider Your Choices First, compare your plan options. Review the enclosed enrollment materials, and if you have any questions, we can help so you can choose the plan that’s right for you: Call for personal assistance. We’ll help you compare plan choices. Call us for answers to your questions at 1-800-832-2640 (TTY/TDD 1-800-628-3323), 8 a.m. to 6 p.m., Monday through Friday. You may also call Medicare for more information about Medicare benefits and services, including general information regarding the health or prescription drug benefit, at 1-800-MEDICARE (1-800633-4227) (TTY/TDD users should call 1-877-486-2048), 24 hours a day/7 days a week. Attend a meeting or schedule a personal visit with an Aetna sales representative. We hold local meetings in many locations, or we can come to your home if you prefer. Visit our website at www.aetnamedicare.com for schedules and locations. Or call us for information. Step 2 –Enroll for Aetna Medicare Coverage Select the plan that meets your needs – and choose one of four easy ways to enroll. Enroll by mail Complete the enrollment form and return it in the enclosed postagepaid envelope. Enroll online You can enroll online at www.aetnamedicare.com. Medicare beneficiaries may also enroll in an Aetna Medicare plan through the Centers for Medicare & Medicaid Services Online Enrollment Center, located at www.medicare.gov. If you’ll be using a primary care physician, you’ll need to select one at the time you enroll. Find a doctor by using DocFind on our website at www.aetnamedicare.com or call us for help. You can also call to request a printed provider directory, at 1-800832-2640 (TTY/TDD 1-800628-3323), Monday through Friday, 8 a.m. to 6 p.m. Enroll by phone An Aetna Medicare representative can take your enrollment information over the phone. Just call tollfree 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. You may also enroll by calling Medicare at 1-800-MEDICARE (1-800-633-4227) (TTY/TDD users should call 1-877-486-2048), 24 hours a day/7 days a week. Enroll at a meeting or personal in-home visit If you attend an informational meeting or schedule a personal visit with a sales representative, you can find out about the plans and enroll at the same time. Visit our website at www.aetnamedicare.com for schedules and locations, or call us for information. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com M0001_7A_80654 (09/2008) Page 2 18.32.429.1 (10/09) Once You’re a Member When you enroll in one of our plans you’ll still have your Parts A and B coverage, but you will receive all of your Medicare benefits through us. The Aetna Golden Medicare plan (HMO) is a Medicare Advantage plan. Our company has a contract with the federal government to provide health care coverage for people with Medicare. And you’ll get more -- an Aetna Medicare Advantage plan gives you extra benefits that Original Medicare doesn’t provide, like worldwide coverage for emergency and urgently-needed care. After you enroll: You’ll receive an Aetna Medicare member ID card. It’s the only card you’ll present when you go to the doctor or have a prescription filled to get all the advantages of being an Aetna member. Remember to check whether a provider participates in our network before receiving routine services. With the Aetna Golden Medicare Plan® HMO, you’ll exclusively use our Aetna Golden Medicare network providers. By accessing medical services from a network provider, our HMO plan can offer a cost-effective solution to your health care needs. In an HMO plan, if you obtain routine care from nonnetwork providers, neither Medicare nor Aetna will pay the costs. (Emergencies and out-of-area urgently needed care and renal dialysis are always covered, of course.) Our HMO plan requires you to use a primary care physician (PCP) to coordinate your care and provide referrals to other health care providers in the Aetna Golden Medicare network. When you receive medical services, there is virtually no paperwork or claim forms. We work to make using the benefits simple. Remember … You must continue to pay your Medicare Part B premium (and Part A, if applicable) if not otherwise paid for under Medicaid or by another third party. This is in addition to the plan premium, if any, for your Aetna coverage. Take advantage of the extra savings you can receive as a member – like discounts on eyeglasses, vitamins and other products and services. We are available to assist you when you have questions or just want to know more about your coverage. Call the toll-free number listed on your member ID card to contact us. If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com M0001_7A_80654 (09/2008) Page 3 18.32.429.1 (10/09) Benefits coverage is provided by Aetna Health Inc., Aetna Health of California Inc., and/or Aetna Health of Illinois Inc., which are Medicare Advantage organizations with a Medicare contract, and benefits, limitations, service areas and premiums are subject to change on January 1 of each year. This material is for informational purposes only. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability may vary by location and are subject to change. You must be entitled to Medicare Part A and continue to pay your Part B premium and Part A, if applicable. Aetna Golden Medicare Plan (HMO): You must use network providers except for emergent or out-of-area urgent care/renal dialysis. Aetna Golden Choice Plan (PPO): Higher costs apply for non-network services. Precertification, or prior approval of coverage, is requested for certain services. Providers must be licensed and eligible to receive payment under the federal Medicare program. Translation of this material into another language may be available. For assistance, please call Member Services at 1-800-832-2460 (TDD: 1-800-628-3323). Puede estar disponible la traducción de este material en otro idioma. Para ayuda, por favor llame a Servicios al Miembro al 1-800-832-2460 (TDD: 1-800-628-3323). If you have questions or need help with enrolling, call an Aetna Medicare representative at 1-800-832-2640 (TTY/TDD 1-800-628-3323), Monday through Friday, 8 a.m. to 6 p.m. Or visit our website at www.aetnamedicare.com M0001_7A_80654 (09/2008) Page 4 18.32.429.1 (10/09)
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